Tibialis posterior transfer (through interosseous membrane )for foot drop
Subscribe to get full access to this operation and the extensive Foot Surgery Atlas.
Learn the Tibialis posterior transfer (through interosseous membrane )for foot drop surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Tibialis posterior transfer (through interosseous membrane )for foot drop surgical procedure.
Tibialis tendon transfer is performed for drop foot, when the foot and ankle dorsiflexor muscles are not working. This may be due to disc disease (or surgery) when the L5 nerve root is damaged, after trauma or compartment syndrome when the muscles are damaged, or as part of neurological disease.
Historically the commonest cause for loss of dorsiflexion from nerve disease was polio. Although the disease is probably eradicated now, there are still many patients with old polio and drop foot in the underdeveloped world, but in the UK commoner causes are CMT and mononeuritis .
Loss of dorsiflexing power can usually be ameliorated by drop foot devices, but for a variety of reasons, including cosmesis, this may not always be accepted.
To perform successful tendon transfer, it is necessary to have a motor unit that works, and examination and testing of the tibilalis posterior tendon is important prior to transfer .
Meticulous surgery, prolonged splinting and prolonged rehabilitation are also necessary to obtain well-functioning results.
Author: Paul Cooke FRCS
Institution : The Nuffield Orthopaedic Centre , Oxford ,UK.
- Each operation and the questions associated become a named course in the CPD section
- The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
- You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
- The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
- There are four possible answers of which one is correct (or on occasion more correct) than the others.
- There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
- The course is completed once all the lessons are read and quizzes submitted and passed.
- On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
- Your dashboard also will contain a record of the time you have spent logged onto and using the site.
- The timer suspends after 5 minutes though if there is no activity.
- When you restart you will resume at the same point in the module.
- Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
The pass mark is 75%.
- If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
- Once these have been read you can re-do just the questions you failed on.
- Once you have passed the quiz you can return at a future stage & resit .
- Operation Quiz – 1 CPD point
- Surgical steps Quiz – 1/4 CPD point
- Implants Quiz – 1/4 CPD point
- Problem case Quiz – 1/2 CPD point
One CPD point equates to one hour of academic activity
Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.
Our content is designed for both Surgeons in independent practice and Surgeons in training.